Hypertriglyceridemia niacin

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Template:Hypertriglyceridemia

For full Omega-3 fatty acid drug info click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]

Overview

Treatment of hypertriglyceridemia is by restriction of carbohydrates and fat in the diet, as well as with niacin, fibrates and statins (three classes of drugs). Increased fish oil intake may substantially lower an individual's triglycerides.[1][2][3].

Mechanism of benefit

  • Reduce levels of low density lipoprotein (LDL)
  • Increases the level of HDL2 particles

Advantages

  • Combination therapy of niacin with statin or statin alone are usually the first options used in patients with increased risk of premature coronary artery disease.
  • Decreases the progression of atherosclerosis in hypertriglyceridemia patients.

Side-effects

  • Flushing
  • Pruritus
  • Nausea
  • Hepatitis (higher doses)

Contraindication

  • Hypersensitivity
  • Hepatic disease

Supportive trial data

References

  1. "Lipids Online Slides: hypertriglyceridemia, ICAM-1, fish oil, E-selectin".
  2. Terres W, Beil U, Reimann B, Tiede S, Bleifeld W (1991). "[Low-dose fish oil in primary hypertriglyceridemia. A randomized placebo-controlled study]". Zeitschrift für Kardiologie (in German). 80 (1): 20–4. PMID 2035283.
  3. "Fish oils in hypertriglyceridemia - Fish Oils Revisited Nutrition Research Newsletter - Find Articles".


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